Patients with post-cholecystectomy syndrome should pay attention to health preservation in their diet, which can greatly improve the disease. The specific points are as follows:
First, the dietary recipe for post-cholecystectomy syndrome (PCS):
1, Yam and Jujube Porridge: 150g yam, 9 jujubes, 100g rice. Wash the yam, peel, and cut into small pieces; wash and prepare the jujubes and rice. Add an appropriate amount of water to the pot, cook the jujubes and rice into porridge, and when it is five-sixths done, add the yam pieces and continue to cook until the porridge is done. Take 1-2 servings a day, and it can be eaten long-term. Yam has the effects of strengthening the spleen and benefiting the lung, nourishing the kidney and consolidating essence. Jujube has the effects of reinforcing the middle-jiao and benefiting Qi, nourishing the stomach and strengthening the spleen, and nourishing the blood and calming the mind. It is mainly used for dyspepsia due to weakness of the spleen and stomach, bloating and abdominal pain after gallbladder surgery.
2, Taro Shredded Pork Porridge: 100g fresh taro, 60g lean pork, 100g corn flour. Peel and wash the taro, cut into small pieces; shred the lean pork and set aside. Add an appropriate amount of water to the pot, bring to a boil, sprinkle in the corn flour while stirring to prevent sticking, and then add the shredded pork to cook porridge. When it is five-sixths done, add the taro pieces and continue to cook until the porridge is done. Take two servings a day, and it can be eaten long-term. Taro has a neutral nature, sweet and spicy taste, with the effects of regulating the middle-jiao and benefiting Qi, resolving phlegm and harmonizing the stomach, and softening hardness and dispersing masses. Pork has the effects of nourishing the kidney Yin, nourishing the liver blood, and moistening the skin. Corn is rich in nutrition and has the effects of regulating the middle-jiao and benefiting the brain. It is mainly used for bloating and dyspepsia after gallbladder surgery.
3, Carp Astragalus Porridge: 250g carp (sliced), 30g fried Astragalus, 20g Sichuan pepper, 250g glutinous rice. First, boil an appropriate amount of water with Sichuan pepper, Astragalus, and ginger to make a decoction, then wash the glutinous rice and add it to the pot. Add the decoction, carp, sugar, scallion whites, and an appropriate amount of water, and cook over high heat until the carp is tender. Remove the carp and drink the porridge. It warms the middle-jiao, disperses cold, and strengthens the spleen and benefits the gallbladder. It is mainly used for abdominal pain, bloating, anorexia, and loose stools after gallbladder surgery.
4, Job's Tears Chicken Gold Porridge: 50g Job's Tears, 5g chicken gizzard. Add an appropriate amount of water, cook together to make porridge for consumption. It helps in digestion and relieves stomachache, mainly for dyspepsia after gallbladder surgery.
5. Broad Bean and Fungus Porridge: 100 grams (50 grams for dried products) of fresh white broad bean, 10-15 grams of fungus, 140 grams of glutinous rice, and appropriate amount of brown sugar. The white broad bean is cleaned (for dried products, it needs to be soaked in warm water overnight), and cooked with glutinous rice in a pot, with appropriate amount of water added. It is first brought to a boil with high heat, then changed to low heat to cook porridge until the rice is soft, and then add brown sugar to taste. It can be taken warm for breakfast and dinner. It strengthens the spleen, promotes bile excretion, and nourishes the blood and Qi. Indicated for post-gallbladder surgery poor digestion, abdominal distension, and diarrhea.
6. Pork Spleen and Stomach Porridge: 100 grams (2 liang) of pork spleen and stomach, 200 grams (4 liang) of rice, a little oil and salt. The pork spleen and stomach are cleaned and cut into small pieces, placed in cleaned rice, and cooked into porridge as usual, and then seasoned with salt when cooked. It can be eaten warm for breakfast and dinner. It strengthens the spleen and stomach, promotes bile excretion, and digests food. Indicated for post-gallbladder surgery weakness, poor digestion, and abdominal distension.
7. Rehmannia and Longan Chicken: 200 grams (4 liang) of raw rehmannia, 500-750 grams of hen, 30 grams (0.6 liang) of longan meat, 15 grams (0.3 liang) of red dates, 150 grams (3 liang) of malt sugar, 100 grams (2 liang) of sugar, and appropriate amount of chicken soup. After the hen is cleaned of its intestines and washed, it is cut from the neck bone to the tail, the claws are chopped off, and the wing tips are cut off, and then it is briefly scalded in boiling water. The raw rehmannia is cleaned and cut into particles about 0.5 cm square, and the longan meat is torn into pieces and mixed evenly with the rehmannia. Then, it is mixed with malt sugar and stuffed into the hen's belly. The hen is placed belly down in a soup pot, the seeds of the red dates are removed and placed in the soup pot, and then chicken soup is poured in, sealed, and steamed for about 2-3 hours. After the chicken is tender, add sugar to taste. It can be eaten with meals, twice a day. It tonifies the body, benefits the Qi and blood. Indicated for post-gallbladder surgery malnutrition or abdominal distension (diabetics should avoid eating).
Two, suitable foods for gallbladder resection syndrome
1. Pay attention to vitamin intake, especially the supplementation of fat-soluble vitamins A, D, E, and K. Vitamin K is effective in controlling bleeding caused by certain types of jaundice.
2. Adequate protein is beneficial for repairing liver cell damage caused by cholecystitis and gallstones. Therefore, it is advisable to choose low-fat high-quality protein diets mainly containing fish, shrimp, poultry, tofu, and less-oily bean products.
3. It is beneficial to choose coarse grains more often. Eating foods high in fiber, including corn, millet, sweet potatoes, oats, and buckwheat, can promote bile excretion.
4. Vegetables and fruits for health. Vegetables and fruits are rich in vitamins, minerals, and dietary fiber, which can reduce cholesterol formation, reduce the absorption of fat and sugar, thereby improving the patient's metabolic disorder and reducing blood lipids and blood sugar levels. The daily intake of vegetables should be more than 500 grams, and at least 2 types of fruit.
Three, dietary considerations at different stages after surgery
1. After surgery, due to the stimulation of the gastrointestinal tract, peristalsis decreases, liver function is suppressed, bile secretion decreases, which will affect the function of the entire digestive system. Therefore, for the first 1 to 2 days after surgery, it is necessary to strictly fast and use intravenous drip to supplement various nutrients. From the third day on, the patient can be given liquid food according to the situation, such as congee, soy milk, lotus root starch, fruit juice, and then gradually change to low-fat milk with sweet bread, rice porridge, tofu soup, date paste rice porridge, and various kinds of noodles.
2. In the first month after surgery, the intake of fatty foods should be reduced, and high-fat and fried foods should be avoided. Some people think that after the 'lesion' is removed, they can change their past low-fat diet, which is wrong. After cholecystectomy, the function of regulating bile into the intestines is lost, and the ability to digest fat is correspondingly weakened. Especially when a large amount of fatty food needs to be digested in a short period of time, it is beyond one's capability, which can cause bloating, diarrhea, and poor digestion. Reducing fat intake mainly refers to not eating or eating as little as possible of fatty meat, animal internal organs, yolks, and fried foods, and it is also not advisable to eat various high-fat and high-calorie 'fast food'. Cooking should use as little animal oil as possible, and vegetable oil can be used in moderation. The main cooking methods should be steaming, stewing, and cold dishes, and less stir-fried dishes should be eaten, especially spicy and刺激性 foods should be avoided, do not drink alcohol, which can reduce the adverse stimulation to the bile duct.
3. Gradually strengthen nutrition. After one month of cholecystectomy, the diet should also pursue lightness, and necessary nutritional supplements should be strengthened to help the patient recover sooner. After several weeks of adaptation and compensation, the bile duct connecting the liver and the small intestine gradually extends and expands, replacing the function of storing bile in the gallbladder. If there is no abnormality in the digestive function, ordinary diet can be consumed. Protein intake can be appropriately increased, and foods with high-quality protein should be eaten. Some lean meat, aquatic products, and legume foods should be eaten every day, and it is better if a glass of milk can be drunk. If one is not accustomed to eating milk or fish, more soy products and mushrooms can be eaten to make up for the deficiency of animal protein. After cholecystectomy, it is not advisable to consume excessive fat and cholesterol, but it is not necessary to restrict fat excessively, because a certain amount of fat in the intestines is necessary to stimulate bile secretion, expand the bile duct, and maintain the smooth flow of bile ducts. In addition, eating more high-fiber and vitamin-rich foods is also very beneficial to the patient's postoperative recovery.
4. Increase the frequency of meals appropriately. It should be noted that each meal should not be too heavy, especially within 3 to 6 months after surgery, it is better to have 4 meals a day, and eating less and more often can reduce the burden on the digestive system and is conducive to postoperative recovery. It is best to eat a little vinegar every day, as vinegar can enhance the digestive ability of the stomach and can also regulate the acid-base balance in the intestines, which is conducive to the function of bile and promotes the digestion of fatty foods. Drinking tea frequently, eating more fresh fruits and vegetables also helps in the digestion and absorption of food.
Four. Foods to avoid after cholecystectomy syndrome
1. Based on the symptoms and the degree of tolerance to fat, excessive fat intake should be avoided, and it is advocated to use vegetable oil for cooking.
2. On the basis of meeting the patient's needs, the total caloric intake should not be too high. Obese and overweight patients should lose weight to reach the ideal weight. Caloric intake should be provided according to the principles of low-calorie diet.
3. Limit the intake of cholesterol. The daily intake of cholesterol should be less than 300 milligrams, and animal fats and foods high in cholesterol, such as internal organs and fish roe, yolks, etc., should be restricted. Fish, lean meat, and egg whites can be chosen instead.
4、忌用刺激性或产气食品，如萝卜、洋葱等，禁烟、酒。
